Home

Exploratory laparotomy icd 10 pcs

Learn Basic ICD-10 Code Sets - Improve Patient Outcome

Icd 10, Low Prices. Free UK Delivery on Eligible Order Free Shipping Available. Buy on eBay. Money Back Guarantee! Looking For Pcs 10? Find It All On eBay with Fast and Free Shipping ICD-10-PCS 0DJW0ZZ converts approximately to: 2015 ICD-9-CM Procedure 54.11 Exploratory laparotomy. Note: approximate conversions between ICD-9-CM codes and ICD-10-PCS codes may require clinical interpretation in order to determine the most appropriate conversion code (s) for your specific coding situation The lecture will cover an overview of the Official Guidelines for the Medical and Surgical related sections (sections 0-9). ICD-10-PCS Official Coding Guidelines relating to Root Operations There are actually quite a few coding guidelines that pertain to root operations. They are found under B3 in the Official Guidelines and cover pages 5-9 The same root operation is repeated in multiple body parts, and those body parts are separate and distinct body parts classified to a single ICD-10-PCS body part value. Examples: Excision of the sartorius muscle and excision of the gracilis muscle are both included in the upper leg muscle body part value, and multiple procedures are coded

Icd 10 - at Amazo

ICD-10-PCS Root Operation J Medical and Surgical, Female Reproductive System, Inspection The Inspection root operation is identified by the character code J in the 3 rd position of the procedure code. It is defined as Visually and/or manually exploring a body part The ICD-10-PCS code for a laparotomy with removal of the gallbladder is 0FT40ZZ, with the fifth character of the code (0) indicating that the procedure was performed via an open approach. During this procedure an incision is made through the abdominal wall (laparotomy) to remove the gallbladder Exploratory laparotomy - Clinical Classifications List. AHA Coding Clinic ® for HCPCS - current + archives AHA Coding Clinic ® for ICD-10-CM and ICD-10-PCS - current + archives AMA CPT ® Assistant - current + archives AMA CPT ® Knowledge Base Q/A BC Advantage Articles, Webinars, 20+ CEUs - current + archives DecisionHealth Pink Sheets, Part B News - current + archives Find-A-Code Articles. A1 ICD-10-PCS codes are composed of seven characters. Each character is an axis of classification that specifies information about the procedure performed. Within a defined code range, a character specifies the same type of information in that axis of classification

Exploratory laparotomy was carried out, and a significant mass was discovered in the sigmoid colon. The sigmoid colon was resected and end-to-end anastomosis accomplished. Small nodules were noted on the liver, and a needle biopsy of the liver was performed during the procedure. The pathology report confirmed adenocarcinoma of the sigmoid colo It is found in the 2021 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 Procedure Coding System (ICD-10-PCS)  Development Background  CMS awarded a contract to 3M Health Information Systems to develop a new procedure coding system  The new system is intended to replace ICD-9-CM Volume 3 for reporting inpatient procedures  Development Histor The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates Procedure performed: Exploratory laparotomy, SB resection, take down and reposition of ileostomy, repair of incisional/parastomal hernia and right subclavian triple lumen catheter. The patien had prior colectomy and terminal ileostomy. He had several prior parastomal hernia repairs. A transverse incision was made overlying the parastomal hernia

Pcs 10 - Pcs 10 Sold Direc

  1. al/pelvic abscess with debridement of abdo
  2. ed that the patient's.
  3. al Washout 3. Graham patch repair of duodenal ulcer Upper midline incision was mad and carried through subcutaneous tissues. Abdomen entered and noted fluid focused in right upper quad. An NG tube was placed and..
  4. system is the ICD-10 Procedure Coding System (ICD-10-PCS). Attributes Used in Development . The development of ICD-10-PCS had as its goal the incorporation of four major attributes: • Completeness . 1. The ICD-10-PCS is being developed with the support of the Centers for Medicare and Medicaid Services, under contract Nos. 90-1138, 91-22300, 500
  5. al organs are exa
  6. What is the 2016 ICD 10 PCS code for, Laparotomy with palpation of left lobe of liver? A patient scheduled for a laparoscopic cholecystectomy asks the nurse why a surgical consent for a laparotomy must also be completed. How should the nurse respond? A/an _____ midline incision is used to enter the abdomen for an exploratory laparotomy.
  7. ICD-9-CM Vol. 3 Procedure Codes. 54.11 - Exploratory laparotomy. The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. Access to this feature is available in the following products: Find-A-Code Essentials. HCC Plus

Convert ICD-10-PCS 0DJW0ZZ to ICD-9-C

  1. An exploratory laparotomy, whether for trauma or a medical condition, may be reported using CPT code 49000 (exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure). ICD-10-PCS 0FT40ZZ is a specific/billable code that can be used to indicate a procedure
  2. the ICD-10-PCS guideline for fusion procedures of the spine, B3.10a: The body part coded for a spinal vertebral joint(s) rendered immobile by a spinal fusion procedure is classified by the level of the spine (e.g. thoracic). There are distinct body part values for a single vertebral joint and for multiple vertebral joints at each spinal level
  3. al Region; 54.21 Laparoscopy convert 54.21 to ICD-10-PCS; 54.22 Biopsy of abdo
  4. For the ICD-10 Coding--Bonnie Altus playlist, go to:https://www.youtube.com/playlist?list=PLRfHZ9wXKs6dJTxMF8y08sxGupC5AAj_PBonnie Altus (MS,RHIA,CHPS) is.

A free Webinar for home health clinicians with information regarding ICD-10 code sets. ICD-10 Coding in PDGM: Critical Concepts for Clinician/Coder Alignmen Are you looking for Icd 10 Pcs Code For Exploratory Laparotomy With Lysis Of Adhesions? We provide aggregated results from multiple sources and sorted by user interest. You can easily access information about Icd 10 Pcs Code For Exploratory Laparotomy With Lysis Of Adhesions by clicking on the most relevant link below Convert ICD-10-PCS 0DJW0ZZ to ICD-9-CM. Discover The Best Deals www.icd10data.com 2015 ICD-9-CM Procedure 54.11 Exploratory laparotomy; Note: approximate conversions between ICD-9-CM codes and ICD-10-PCS codes may require clinical interpretation in order to determine the most appropriate conversion code(s) for your specific coding situation ICD-10-PCS Scenario #2 • Left frontal temporoparietal craniotomy and evacuation of subdural hematoma • 00C40ZZ • Rationale: The root operation Extirpation is used to code the evacuation of the subdural hematoma. The craniotomy is the open approach for the procedure. The body part value is 4, Subdural space because the hematom

ICD-10-PCS Med/Surg Root Operations. front 1. Alteration. back 1. Modifying the anatomical structure of a body part without affecting the function of the body part (example: breast augmentation) exploratory laparotomy) front 18. Map. back 18. Locating the route of passage of electrical impulses and/or locating functional areas in a body. The principal procedure is the procedure performed for definitive treatment rather than diagnostic or exploratory purposes, or which is necessary to take care of a complication. Note: If transmitted for the HBIPS measure set, all applicable edits (e.g., valid value, ICD-10-PCS Principal Procedure Date exists, etc.) will apply Exploratory laparotomy with drainage of multiple intra-abdominal abscesses. 2. Splenectomy. 3. Vac Pak closure. _____ |1| Diagnosis related to HIV results in AIDS (B20) being reported as the primary diagnosis. |2| The patient has AIDS. |3| Hepatitis C is relevant because it may have an. Control (stopping, or attempting to stop, postprocedural bleeding) in ICD-10-PCS represents a very limited set of procedures. You will use root operation Control when the only objective of the procedure is to stop hemorrhaging after a procedure. Procedures that fall under Control include: Irrigating or evacuating a hematoma at the operative site Exploratory laparotomy Bilateral salpingo-oophorectomy Lysis of adhesions Removal abdominal wall mass Anesthesia General endotracheal anesthesia Estimated Blood Loss Minimal Findings Adhesions were found on the descending colon, cecum, adnexa, and vaginal cuff. Benign neoplastic mass on the abdominal wall. Procedur

Exploratory laparotomy with gastric resection , pylorus, with end-to-end anastomosis 0DT70ZZ 2.Duodenal ulcer , with perforation and hemorrhage K26.6 3.Penetrating gastric ulcer K25.5 Open resection of esophageal junction (subtotal gastrectomy) with esophageal anastomosis 0DT40ZZ Vagotomy 008Q0ZZ 4.Bleeding gastric ulcer K25. Finding the appropriate ICD-10-PCS Code1 STEP 3: Combine the characters from steps 1 and 2 in the respective order from left to right. This is your ICD-10-PCS Code. For example, the code for Resection of Large Intestine, Open Approach (0DTE0ZZ) would be created in the steps below An exploratory laparotomy, whether for trauma or a medical condition, may be reported using CPT code 49000 (exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure). The term separate procedure refers to a complete procedure that stands alone. Therefore, CPT code 49000 refers to a complete procedure. Case Study Ch.19 #2 Examination under anesthesia, exploratory laparotomy with planned cytoreductive surgery Diagnosis: Recurrent ovarian cancer Root Operation: Inspection ICD-10-PCS: 0WJG0ZZ, 0WJJ0ZZ 0 - Medical and Surgical W - Anatomical Regions, General J - Inspection G - Peritoneal Cavity 0 - Open Z - No Device Z - No Qualifier 0 - Medical and Surgical W - Anatomical Regions, General. Presented by Judy Bielby, MBA, RHIA, CPHQ, CCS, FAHIMA, this video presents a brief overview of the ICD-10-PCS code set to replace ICD-9

ICD-10-PCS - tacomacc

  1. ICD-10-PCS, 0WJG0ZZ. ICD-9-CM · 54.11. [edit on Wikidata]. An exploratory laparotomy is a general surgical operation where the abdomen is opened and.
  2. al colectomy) for the same operation because the surgical field is included in the code for the total abdo
  3. Comparing ICD-9-CM and ICD-10-PCS: Repair Laparoscopic repair of right direct inguinal hernia. In the ICD-9-CM Alphabetic Index locate the main term repair, followed by subterms inguinal, direct (unilateral), other and open (laparoscopic without graft or prosthesis which directs the coder to code 53.01, Other and open repair of direct inguinal hernia
  4. al region 54.21: laparoscopy.

In rare instances, exploratory laparotomy may be performed for highly unusual presentations (eg, adnexal torsion induced by an endometrioma). Hua et al reported a 25-year-old primigravida in the eighth week of gestation who presented with acute-onset lower abdominal pain. [] US showed an intrauterine single viable embryo with a right ovarian cyst measuring 6 × 6 cm in diameter 49000 Laparotomy, exploratory, separate procedure Abdominal procedures 49020 Laparotomy, abscess, I&D, peritoneal Abdominal procedures 49060 Laparotomy, abscess, I&D, retroperitoneal Abdominal procedures 49203 Neoplasm destruction/excision, abdominal e.g. cyst, endometriosis Abdominal procedure Exploratory laparotomy 49000 12.54 Includes biopsies if performed Excision or destruction, open, intra -abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less 49203 20.13 Codes appropriate when primary organs have been removed We first see the physician enter the abdomen (a laparotomy is an incision into the abdomen), and he finds the transverse colonic stump (or the part of the intestine that was stapled off in the body during the prior surgery where the ostomy was created). He removes 5 cm of transverse colon (which is our first intestinal resection)

Medical and Surgical Section Guidelines - ICD-10-PCS

Finding the appropriate ICD-10-PCS Code1 STEP 3: Combine the code in Step 1 with the characters in Step 2 in the respective order. This is your ICD-10-PCS Code. For example, the code for Release of Small Intestine, Open Approach (ØDN8ØZZ) would be created in the steps below ICD-10-PCS Update Posting • Final ICD-10-PCS output files posted on the CMS website, including -Core content (ICD-10-PCS Tables, Index, Definitions) -Official ICD-10-PCS Coding Guidelines -Update summary • Available in multiple formats -Machine-readable formats for technical users -PDF for coders and coding educator Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) Reopening of recent laparotomy Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ICD-10-PCS & CPT Codes -- Guidance for HPRO & KPRO Procedure Detail

10/10/2012 1 Don't Be Obstructed By Colon Surgery Caren J Swartz, CPC‐I, CPC‐H, CPMA Practice Integrity, LLC Caren@practiceintegrity.co ICD-10-CM/PCS codes version 2016/2017/2018/2019/2020/2021, ICD10 data search engin ICD-10-CM and ICD-10-PCS manuals. These 52 case scenarios let coders practice real-world coding without risking actual revenue. Coders can practice on their own or as a group, with enough cases for coding teams to complete one each week together for a full year. Clinical Scenario Workbook 2020 ICD-10-PCS Edition Clinical Scenario Workboo

ICD-10-PCS Laparotom

65.81 Laparoscopic lysis of adhesions of ovary and fallopian tube convert 65.81 to ICD-10-PCS. 65.89 Other lysis of adhesions of ovary and fallopian tube convert 65.89 to ICD-10-PCS. 65.9 Other Operations On Ovary. 65.91 Aspiration of ovary convert 65.91 to ICD-10-PCS. 65.92 Transplantation of ovary convert 65.92 to ICD-10-PCS Correspondingly, what is the CPT code for laparotomy with lysis of adhesions? Open lysis of adhesions as described by 44005 (Enterolysis [freeing of intestinal adhesion] [separate procedure]).Additionally, CMS and other payers bundle the exploratory laparotomy with the enterolysis (44005). Therefore, you would not separately bill for the exploratory laparotomy

W-10

The ICD-10 Procedure Coding System (ICD-10-PCS) is an international system of medical classification used for procedural coding.The Centers for Medicare and Medicaid Services, the agency responsible for maintaining the inpatient procedure code set in the U.S., contracted with 3M Health Information Systems in 1995 to design and then develop a procedure classification system to replace Volume 3. ICD-10-CM Code. N83.4. Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis. Code is only used for female patients. N83.4 is a billable ICD code used to specify a diagnosis of prolapse and hernia of ovary and fallopian tube Abstract. Bedside decompressive laparotomy in the intensive care unit can be performed for patients deemed too unstable for transfer to the operating room. However, significant planning, logistics, and infrastructure are required in order to deliver this care in a safe and reliable fashion. In this chapter, we will review the indications and. Laparotomy. An exploratory laparotomy, whether for trauma or a medical condition, may be reported using CPT code 49000 (exploratory laparotomy, exploratory celiotomy with or without biopsy (s) (separate procedure). Liver 2. [and] are the commonest type of ovarian epithelial neoplasm (1) Membranes that line the abdominal cavity Does Hermione. ICD-10-PCS code your code book. This assignment asks you to review scenarios and assign the correct ICD-10-PCS code your code book. Select the assignment document below to view more detailed instructions to complete this assignment. Refer to the rubric at the end of the document to see how your work will be graded

An exploratory laparotomy (ex-lap) is a surgical operation where the abdomen is opened and the abdominal organs examined for injury or disease. It is the standard of care in various blunt and penetrating trauma situations in which there may be multiple life-threatening injuries, and in many diagnostic situations in which the operation is undertaken in search of a unifying cause for multiple. A free Webinar for home health clinicians with information regarding ICD-10 code sets. Get instant access to this free ICD-10 webinar hosted by Dee Kornetti & Cindy Krafft

2021 ICD-10-PCS Procedure Code 0WJG4ZZ: Inspection of

Convert ICD-10-PCS 0DJW0ZZ to ICD-9-CM. Icd10data.com DA: 17 PA: 16 MOZ Rank: 33. ICD-10-PCS 0DJW0ZZ converts approximately to: 2015 ICD-9-CM Procedure 54.11 Exploratory laparotomy; Note: approximate conversions between ICD-9-CM codes and ICD-10-PCS codes may require clinical interpretation in order to determine the most appropriate conversion code (s) for your specific coding situation The ICD-10-PCS code for a laparotomy with removal of the gallbladder is 0FT40ZZ, with the fifth character of the code (0) indicating that the procedure was performed via an open approach During this procedure an incision is made through the abdominal wall ( laparotomy ) to remove the gallbladder

ICD-10-PCS Root Operation Groups, Part

Exploratory Laparotomy REPAIR Suture of Laceration, skin lac left ear Suture of repair of right median nerve lac, open Repair of chest wall stab wound, open FUSION Posterior spinal fusion of the anterior column at L2-L4 levels with BAK cage interbody fusion device, open Examples Root Operations 009600Z Diagnostic bronchoscopy 0CHY _ _ _ 09HN. The principal procedure is the procedure performed for definitive treatment, rather than diagnostic or exploratory purposes, or which is necessary to take care of a complication. While the definition was in place prior to ICD-10 implementation, it was not part of the official coding guidelines. Sequencing ICD-10-PCS Procedure ICD-10-PCS: An Applied Approach, 2019 AHIMA Product # AC201118 Page 11, table 5.5. The table should read coronary artery instead of site and coronary arteries rather than sites for the body part values in the first six rows of the 021 table. Page 134, CYU question 3. Answer choice a. should read Only four body systems are.

Colostomy- PCS Coding — ACDIS Forum

ICD-10-PCS (Inpatient Procedural) (40 Hour Course) ICD-10-CM (Diagnostic) (Full Course) for example, my famous example that I always use, an exploratory laparotomy, where they use an incision, laparo means abdomen so they are cutting into the abdomen maybe to look around and see what's wrong to diagnose something but they are not really. ICD-10-PCS Coding for Hysterectomy When coding the hysterectomy procedure in ICD-10-PCS, it is imperative that the operative report identify each body part removed (eg, uterus, cervix, fallopian tubes, ovaries). If a total hysterectomy is performed, the root operation will be resection, which is defined as the cutting out or off, without. Diagnostic arthroscopy, exploratory laparotomy: Map Definition: Locating the route of passage of electrical impulses and/or locating functional areas in a body part: Map Explanation: Applicable only to the cardiac conduction mechanism and the central nervous system: Map Includes/Examples: Cardiac mapping, cortical mapping: Occlusion Definitio (ICD-10-PCS). These guidelines should be used as a companion document to the official version of the ICD-10-PCS as published on the CMS website. The ICD-10-PCS is a procedure classification published by the United States for classifying procedures performed in hospital inpatient health care settings. These guidelines have been approved by the fou

ICD-10-PCS finals Flashcards Quizle

ICD-10-PCS - Female Reproductive System, Inspectio

ICD-10-PCS 2020: The Complete Official Codebook contains the complete ICD-10-PCS code set and supplementary appendixes required for reporting inpatient procedures. This illustrated codebook presents the code set in 17 sections of tables arranged by general procedure type. Tables within the extensive Medical and Surgical section are additionally. ICD-10-PCS Code ICD-10-PCS Description . Diagnostic Endoscopy 42.23 Other esophagoscopy 0DJ08ZZ Inspection of Upper Intestinal Tract, Via Natural or Artificial Opening Endoscopic 42.24 Closed [endoscopic] biopsy of esophagus 0DB18ZX Excision of Upper Esophagus, Via Natural o This confusion likely involves use of International Classification of Diseases Tenth Revision Procedure Coding System (ICD-10-PCS) codes, which classify procedures performed in the inpatient setting. Facilities, not physicians, report ICD-10-PCS codes, and these codes define various approaches that do not correspond to CPT coding (open, closed. Organization of ICD-10-PCS. ICD-10-PCS is divided into 16 sections, the largest being the Medical and Surgical section (value 0). The first character of any procedure code identifies the section that describes the category where the code is located. Sections 1 through 9 are medical- and surgical-related sections

Differentiating Procedure Approach in ICD-10-PCS: Fifth

The exploratory laparotomy is not separately bil lable, since you'll be billing for open surgical procedures. When this happens, the exploratory becomes integral to the surgical technique. Next is detorsion of the left ovary: CPT does not have a code for this For coders who use ICD-10-PCS, 2018 brought a big change to female reproductive system coding. Originally, coding a hysterectomy necessitated two separate codes: one for resection of the uterus, and another for resection of the cervix. According to Procedure Coding System (PCS) guideline B3.2a, During the same operative episode, multiple procedures are coded if the same root operation is. ICD-9-CM to ICD-10-PCS Procedure Code Crosswalk: BIOTRONIK, Inc. 6024 Jean Road Lake Oswego, OR 97035-5369 (800) 547-0394 (24-hour) (800) 291-0470 (fax) www.biotronik.com BR317 1/14/16 Diagnosis code crosswalk ICD-10 went into effect October 1, 2015. From that date forward, all physicians and other healthcare providers must use ICD-10-CM to.

This is Part 2 of a 4 part series on the FY2021 ICD-10 Code and IPPS changes. In this part, the ICD-10-PCS procedure codes are presented. For FY2021 ICD-10-PCS there are 78,115 total codes (FY2020 total was 77,571); 556 new codes (734 new last year in FY2020 One Hundred Tips for ICD-10-PCS Coding: Tips 41-50. ICD-10-PCS represents a major departure from ICD-9-CM procedure coding, and as such, many coding specialists find ICD-10-PCS much more challenging to learn than ICD-10-CM (which still shares many similarities with ICD-9-CM). In order to ease the transition from one code set to the other, we.

Exploratory laparotomy - Clinical Classifications Lis

Last Updated by the AUGS Coding and Reimbursement Committee on January 2017 Disclaimer: The Coding and Reimbursement Committee of the American Urogynecologic Society (AUGS) assists members with the applicatio Exploratory laparoscopy, also termed diagnostic laparoscopy, is a minimally invasive method for the diagnosis of intra-abdominal diseases by direct inspection of intra-abdominal organs. Exploratory laparoscopy also allows tissue biopsy, culture acquisition, and a variety of therapeutic interventions Create codetable from scratch Show conversion to ICD-9-CM NL - FR Contact. Laparotomy Drainage see Drainage, Peritoneal Cavity 0W9G Exploratory see Inspection, Peritoneal Cavity 0WJG see Inspection, Peritoneal Cavity 0WJ

ICD-10-PCS Code 0WJF0ZZ - ICD-10 Data and Code Looku

2021 ICD-10-PCS 0SJ4XZZ - Inspection of Lumbosacral Disc

June 11, 2020. Question: Instead of a colostomy as described in the laparoscopic CPT codes 44208 or the open code, 44146, my doctor does a diverting ileostomy Use one of the appropriate CPT® codes from the following list of cystectomy procedures as the primary procedure: 51570. Cystectomy, complete; (separate procedure) 51575. with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes. 51580 JustCoding's Clinical Scenario Workbook: 2021 ICD-10-PCS Edition. Completely updated for the fiscal year 2021 ICD-10-CM/PCS code sets! JustCoding's Clinical Scenario Workbook: 2021 ICD-10-PCS Edition provides an opportunity for coders to practice and refine their skills in a hands-on way by using a wide range of real-life case scenarios.Coders will determine the correct fiscal year 2021. fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis Facility Only: $1,186 Inpatient Procedures, not reimbursed in outpatient or ASC by Medicare . 43333 Repair, paraesophagealhiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesi CPT Code Description. 47562 Laparoscopy, surgical; cholecystectomy - Average fee amount - $600 - $750. 47563 - Laparoscopy, surgical; cholecystectomy with cholangiography. 47564 - Laparoscopy, surgical; cholecystectomy with exploration of common duct - Average fee amount- $1050 - $1200. Billing Guidelines. Medical Necessity Guidelines: Cholecystectomy-Open an

An exploratory laparotomy (also known as an ex-lap) is a surgical operation where the abdomen is opened and the abdominal organs examined for injury or disease. It is the standard of care in various blunt and penetrating trauma situations in which there may be multiple life-threatening injuries, and in many diagnostic situations in which the operation is undertaken in search of a unifying. It is appropriate to use codes that say with colostomy (for example, 44141, 44146, 44208) when a diverting ileostomy is performed instead of a colostomy. When these codes were originally valued the codes were valued for either a colostomy or an ileostomy. *This response is based on the best information available as of 01/19/17 Terminology. In diagnostic laparotomy (most often referred to as an exploratory laparotomy and abbreviated Ex-Lap), the nature of the disease is unknown, and laparotomy is deemed the best way to identify the cause.. In therapeutic laparotomy, a cause has been identified (e.g. peptic ulcer, colon cancer) and laparotomy is required for its therapy. Usually, only exploratory laparotomy is. When you get your gallbladder removed, your doctor might use a type of imaging called an intraoperative cholangiogram. WebMD explains what it is, how it can help, how it's done, and what the risks.